30D1076250 CLIA NUMBER - SEACOAST KIDNEY & HYPERTENSION SPECIALISTS, PLLC

Laboratory Demographics

CLIA Number: 30D1076250

Facility Name: SEACOAST KIDNEY & HYPERTENSION SPECIALISTS, PLLC

Facility Address:
875 GREENLAND AVE #C-10
PORTSMOUTH, NH
ZIP 03801
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Facility Phone Number: 603 436-3433

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1780877902

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name Field Value
CLIA Number 30D1076250
LAB Type Physician Office
Facility Name SEACOAST KIDNEY & HYPERTENSION SPECIALISTS, PLLC
Street 875 GREENLAND AVE #C-10
City PORTSMOUTH
State NH
ZIP 03801
Phone 603 436-3433
CertificateType 3
CertificateEffectiveDate 11/8/2023
CertificateExpirationDate 11/7/2025
FacilityType PPMP

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This page was last updated on: 4/23/2024